Offsite Referral and Pre-Certification Specialist- Multispecialty, Yonkers, New York, Full Time, Days
Mount Sinai Health System•Yonkers, NY
About The Position
The Offsite Referral and Pre-Certification Specialist completes referrals and pre-certification requirements according to established protocols. The role obtains referrals and/or pre-certifications for patients’ internal and external appointments and orders, and communicates related information to patients, external medical offices, and internal staff as required by established protocols. The specialist also performs other related duties.
Requirements
- High school graduate or equivalent.
- No experience is required.
- Preferred: 1 to 3 years of experience processing prior authorizations and referrals.
- Understand requirements for internal WMG referrals and outgoing referrals.
- Understand PCP and referral protocols as defined by insurance carriers.
Nice To Haves
- Experience processing prior authorizations and referrals; 1 to 3 years is preferred.
Responsibilities
- Obtain referrals and/or pre-certifications for patients’ internal and external appointments and orders.
- Communicate referral and/or pre-certification information to patients, external medical offices, and internal staff according to established protocols.
- Perform other related duties.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
